Greater Bucks Mont Chamber of Commerce
Join Greater Bucks Mont Chamber of Commerce

membership application
January 1, 2021 - December 31, 2021

Company Name:

Street Address:

City:           State:           Zip:

Phone (Work):           Cell:

Email:

Website:

Type of Business:

Date Established:

Brief 2 Line Description of Business:


Principal Representative:      Title:

Recommended by:

Your Name:

Annual 2021 Membership Dues: $150.00
Annual 2021 Membership Dues - Non-Profits*: $100.00
One Time Application Fee for New Members: $50

New Member-         Renewal-

*Proof of non-profit status required, click if non-profit:


False information on application can result in termination of chamber membership.